Authorization to Obtain Earnings Data from the Social Security Administration

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Documents and Forms

Document Name Document Type
Form SSA-581 Authorization to Obtain Earnings Data from the Social Security Administration Form
SSA-581 Authorization to Obtain Earnings Data from the Social Se SSA-581.pdf Form

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Authorization to Obtain Earnings Data from the Social Security Administration	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	SSA-581	Authorization to Obtain Earnings Data from the Social Security Administration	SSA-581.pdf		No		Paper Only

Line of Business: Income Security

Subfunction: General Retirement and Disability

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 33,000	Number of Respondents for Small Entity: 0

Affected Public: Private Sector	Private Sector: Businesses or other for-profits, Not-for-profit institutions

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	33,000	-27,000	60,000
Annual IC Time Burden (Hours)	1,100	-900	2,000
Annual IC Cost Burden (Dollars)	0	0	0

Documents for IC

Title	Document	Date Uploaded
No associated records found

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.